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She invents words so it's hard to understand what she is trying to say. She gets in a foul mood which can last for hours.

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Speak to mom's doctor about anti-depressants which can help a LOT with demented elders and their 'foul moods' which can last for hours. An SSRI anti depressant has helped my mother (with advanced dementia) and her foul moods quite a bit. She's gone from chronic sniping & spitting out her words to a more relaxed mood in general, thank God.

Other than that, there is no way to change what a demented elder says or does. Once they get an idea into their head, it can't be chopped out of there with an axe, no matter HOW many times you try to 'correct' it. Don't even bother trying, that's my suggestion. Leave the room when the ugliness gets going, which is all you can really do.

GOOD LUCK!
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Can you describe the context a bit more, to give us an idea of what happens?

Have you talked to your brother? - it's possible she does exactly the same with him, you could compare notes about what's triggering it.
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Perhaps she is speaking loudly because she knows you are having a hard time understanding her. Folks often speak up when they can’t be understood. She may be upset or frightened. She may be watching your facial expressions and trying really hard for you to understand her. Will she allow you to hold her hand? To pat her knee or put your hand on her arm? Perhaps just be with her and lotion her hands and arms. Speak soothingly to her. See if you can have a pleasant connection.
I see on your bio that you are with her 12 hours a week. Is brother with her when you aren’t? Could it be that she is objecting not to you but to your brother not being there? The elderly can become so attached to their primary caregiver that they don’t want the caregiver out of their sight. Does brother have an easier time with her than you? Does he understand what she wants or is saying? Does she get angry with him or is it just when you are with her that she gets upset?
Can she still read and write? Perhaps you can ask her to write what you can’t understand.
Are you with her those twelve hours to bath her? My DH aunt is very rude to her bathers at times. Another day she is grateful.
Im sorry you are having this problem. It could be so many things that are distressing her. Talk to your brother. And as always, if it’s new or worse behavior, be sure to check for a UTI.
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Your profile says your brother manages her affairs. Can you request he talk to her doctor about possible medication for her foul-moods? Many on this forum have had good success with meds. Also, inventing words means her dementia (or a TIA or stroke) impacted the portion of her brain that controls speech. She may actually believe she's saying the appropriate word but it doesn't come out of her mouth correctly. It's hard for the both of you!
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You can’t change the behavior and words of a person with dementia, the brain is broken and not capable of learning or doing better. You’ll have to limit your exposure, take breaks and walk away
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